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1033401021
BERTHA JEANIE BANKS
N LAS VEGAS, NV
NPI
1033401021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
103T00000X Psychologist
Enumeration Date
2011-05-09
Last Update Date
2011-05-09
Business Address
BERTHA JEANIE BANKS
4435 MATINEE AVE
N LAS VEGAS, NV 89031-0417
Phone number: 702-696-8091
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Mailing Address
BERTHA JEANIE BANKS
4435 MATINEE AVE
N LAS VEGAS, NV 89031
Phone number:
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